<p>Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia</p>

Abstract

Background: Diabetes is a typical chronic disease that needs integrated and multifaceted approaches. Self-care practices are fundamental to achieve good blood glucose control and prevent long-term complications. Therefore, the aim of the study was to determine the level and predictors of adherence to self-care behavior among patients with diabetes on follow-up at public hospitals of western Ethiopia. Patients and Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients on follow-up at public hospitals of western Ethiopia. A systematic random sampling method was employed. The data were entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-value <0.05 in the bivariable were entered in multivariate regression analysis. Backward stepwise goodness of fit was used to ascertain the suitable variables in multiple linear regression analysis. Finally, multivariate linear regression analysis with adjusted B, CI at 95%, and the significance level was set at p <0.05. All predictive variables were reported in terms of adjusted R2. Results: The overall mean and standard deviation of adherence to self-care behavior was 23.09 ±6.55. Among the study participants, 42.70% had good self-care behavior. Selfefficacy (B=0.106, p<0.001), home blood glucose test (B=0.075, p<0.001), exercise per week (0.035, P<0.002), meal planning (B=0.039, P<0.001), dietary restriction (B=0.077, P<0.001), duration of diabetes<4 years (B=0.030, P<0.013), non-pharmacological intervention (B=0.055, P<0.011), and good appetite (B=0.039, P<0.045) were significant variables associated with adherence to self-care behaviors. Conclusion: The overall level of adherence to self-care behavior was low. Therefore, we recommended that it is better if the national health policymaker focused on dietary management modality that engages patients' behavior change to develop self-care practices and closely monitoring of glucose level. Also, we recommended an additional longitudinal study incorporating a qualitative study that focused on behavioral changes.

Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone southwest, Ethiopia

“…This study revealed that 60.4% of study participants had poor self-care practices. This finding was in line with the study conducted in central Tigray hospital 62.7% [ 27 ], and west Ethiopia at 57.3% [ 28 ]. However, this finding was higher than a study conducted at Debre Tabor University 36.9% [ 29 ], in Addis Ababa Ethiopia 52% [ 30 ], Jimma medical center 45.8% [ 31 ], in Tigray 53.3% [ 19 ].…”

The effectiveness of daily humanistic care in pharmaceutical care of patients with type 2 diabetes

“…[ 20 ] Self-efficacy of diabetes was determined basing on the 7 domains of diabetes self-management as described previously. [ 21 ]…”

The Effectiveness of an Educational Nursing Intervention on the Adherence to Therapeutic Regimen in Patients with Diabetes: an Interventional Study

“…The long-term maintenance of the positive impact of education activities is still up for debate, although longer-term effects are shown in patients who participated in group education programs 24 . In these patients, there is evidence of signi cant results, such as better glycaemic control, increased knowledge about diabetes, self-management skills, and selfe cacy/empowerment 25 .…”